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Dr. Christopher John Eitzen, DDS
Orthodontics and Dentofacial Orthopedic Dentist in San Diego, California
NPI 1932276607

Christopher John Eitzen is a Orthodontics and Dentofacial Orthopedic Dentist based in San Diego, CA and is specialized in Orthodontics and Dentofacial Orthopedics. Christopher John Eitzen practices in San Diego, CA and has the professional credentials of DDS. The NPI Number for Christopher John Eitzen is 1932276607 and holds a License No. 46180 (California).

The current practice location address for Christopher John Eitzen is 11616 Iberia Place, San Diego, CA and can be reached out via phone at 858-676-5000 and via fax at 858-676-5016. You can also correspond with Christopher John Eitzen through the mailing address at 11508 FRESHWIND COURT, SAN DIEGO, CA - 92127 (mailing address contact number: 858-676-5000).

Location: 11616 Iberia Place, San Diego, CA, 92127
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932276607
Provider Name
Christopher John Eitzen
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
11616 Iberia Place, San Diego, CA, 92127
Phone Number
858-676-5000
Fax Number
858-676-5016
Provider Enumeration Date
11/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
173912 01 UNITED CONCORDIA INS ORTH
809272 01 UNITED CONCORDIA INS
institution
Provider Business Practice Location Address Details
Address
11616 Iberia Place
City
San Diego
State
California
Zip
92128
Phone Number
858-676-5000
Fax Number
858-676-5016
person
Provider Business Mailing Address Details
Address
11508 Freshwind Court
City
San Diego
State
California
Zip
92127
Phone Number
858-676-5000
Fax Number
858-676-5016
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
46180 (California)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Orthodontics and Dentofacial Orthopedics
Taxonomy
1223X0400X
License No.
46180 (California)
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
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